Weekly reporting - fac1

Author

Antoine Chaillon

Published

14 February 2025

  • 🏥 Type of facility: Hospital
  • 📓 Facility manager: Government
  • 🌎 District/Region: Ondo
  • 👥 Catchment population (est.): NA
  • Number of patients to date: 325

  • Number of deaths to date: 23

  • Bed capacities: 500

  • Bed occupancy: 480

  • Case Facility Rate (CFR) to date:: 7%

  • Has at least one case been confirmed by culture?: Yes ☑ No ☐

  • Date of most recent case: 2/14/25

Facility characteristics

  • Clearly marked handwashing stations are available at point of entry and exit, at all latrines, in all patients’ areas, in the kitchen, the laundry area, the waste management area and the morgue with soap and safe water. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution is used. : Yes ☑ No ☐

  • A staff is posted at the entry and exit to ensure washing of hands and control movement: Yes ☐ No ☑

  • Foot spraying or maintained footbath is available at to those entering and exiting the structure (maintained = muddy solution is replaced regularly). If installed, footbaths should use trays with cloth or sponge soaked in a 0.2% chlorine solution and changed twice per day: Yes ☐ No ☑

  • Floors, latrines and beds in CTC are cleaned when dirty with 0.2% chlorine solution (recommended is at least 4 times per day): Yes ☐ No ☑

  • Handwashing stations with soap and safe water are available in each ward. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution can be used.: Yes ☐ No ☑

  • Health staff and relatives wash hands before and after each contact with the patient: Yes ☐ No ☑

  • Gloves are worn when IV catheter or NG tube is inserted/removed: Yes ☑ No ☐

Variable Yes No
A staff is posted at the entry and exit to ensure washing of hands and control movement
Clearly marked handwashing stations are available at point of entry and exit, at all latrines, in all patients areas, in the kitchen, the laundry area, the waste management area and the morgue with soap and safe water. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution is used.
Floors, latrines and beds in CTC are cleaned when dirty with 0.2% chlorine solution (recommended is at least 4 times per day)
Foot spraying or maintained footbath is available at to those entering and exiting the structure (maintained = muddy solution is replaced regularly). If installed, footbaths should use trays with cloth or sponge soaked in a 0.2% chlorine solution and changed twice per day
Gloves are worn when IV catheter or NG tube is inserted/removed
Handwashing stations with soap and safe water are available in each ward. Where soap and safe water are not available, an alcohol-based hand rub (ABHR) should be used. When neither is available, water treated with a 0.05% chlorine solution can be used.
Health staff and relatives wash hands before and after each contact with the patient
  • A triage area is available for registration, evaluation and immediate treatment of severe cases: Fully ☑ Partially ☐ Absent ☐

  • The layout and access to different spaces is organized to facilitate patient flow from triage to exit that isolates infectious patients from other wards or clean areas: Fully ☐ Partially ☑ Absent ☐

  • The neutral area is clearly demarcated and access is restricted to staff only: Fully ☐ Partially ☑ Absent ☐

Variable Fully Partially
A triage area is available for registration, evaluation and immediate treatment of severe cases
The layout and access to different spaces is organized to facilitate patient flow from triage to exit that isolates infectious patients from other wards or clean areas
The neutral area is clearly demarcated and access is restricted to staff only
Variable Fully Partially Absent
Cholera register is correctly filled in with patient name and address noted. Patient discharge should also be noted.
Patients are evaluated and their level of severity defined according to protocol
Severe cases are immediately given IV fluids and transferred to the hospitalisation area
The age range < 5 years and >5 years and sex is clearly noted
Variable Fully Partially Absent
Antibiotics are used according to national protocol
Cholera beds (with a hole in the middle) are sufficiently available and use with all severe cases
Each cholera beds has two buckets available filled with around 2 cm of 2% chlorine solution for collection of stool and vomit
Each patient has not more than one family member to assist care
Each patient has ORS available and is encouraged to drink regularly
IV fluid bags are changed rapidly when empty
The patients file is correctly filled in and the admission time is registered
Treatment protocols are available and in use
Variable <7 Days 7-14 Days >14 Days
Azithromycin/erythromycin
Buckets
Catheter IV
Ciprofloxacin
Doxycycline/tetracycline
DPD 1 tablets for testing free residual chlorine
Gloves, approns, and other PPE
HTH or NADCC chlorine, properly stored (no direct sunlight, no humidity but ventilation)
ORS
Ringer Lactate
Soap
Supplies are MoH standard and cholera-appropriate (Main IV fluid is RL or NS, ORS is hypo-Osm, etc)
Variable Excellent Average
Registration of deaths and if they occur before or after the first 4 hours that follow admission
The data of the center are regularly transmitted to the MoH and the provincial/district level (at least weekly)
The number of cases received in the center are correctly totalled daily and weekly
The number of deaths is totalled daily and weekly
The number of patients admitted with none, some, severe dehydration totalled daily and weekly
Variable Day Night Never
A staff is posted at the entry and exit to ensure washing of hands and control movement
Health staff and relatives wash hands before and after each contact with the patient
Is there a stock, supply, logistics staff present?
Is there at least one doctor present?
Is there at least one trained community health worker present
Is there at least one trained nurse present?

Weekly report

Key metrics over time

As of 2025-02-14

Variable Number on typical day shift Number on typical night shift Number with cholera training total number on rota Total number on rota
Clinical officers 42 85 1 2
Doctors 57 14 21 45
Health Surveillance Assistants 95 54 48 42
Nurses / nurse-midwives 45 61 44 5
Nursing auxillaries / hospital attendants 38 85 21 95
Variable Yes No
Azithromycin
Chlorine
Doxycycline
Glucometer strips
Intravenous fluid (Crystalloid e.g. Ringers lactate)
Intravenous glucose
ORS
Stationary
Zinc
Variable Number not working / broken Number working
BP machine (with working cuff) 24 45
Glucometer 34 38
Pulse oximeter 11 42
Thermometer 11 43

Daily

Key metrics over time

Key metrics as of 2025-02-14

Variable value
Number of patients admitted in the preceding 24 hours 25
Deaths in the preceding 24 hours 4
Total number of cholera (CTC/CTU) beds (physically available beds) 80
Total number of cholera patients currently admitted 12
Number of beds for treating severely unwell patients (requiring high dependency nursing or medical care) 48
Number of patients being treated for severe disease (requiring high dependency nursing or medical care) 2

Please contact A Chaillon for any questions/suggestions.

Any additional note???